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What are the pediatric energy settings for cardioversion

User CJR
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Final answer:

For pediatric cardioversion, the energy settings depend on the patient's weight and age. The initial biphasic energy dose is typically 1 J/kg and can be increased if necessary. If a monophasic defibrillator is used, the initial energy dose is 2 J/kg.

Step-by-step explanation:

In pediatric cardioversion, the energy settings typically depend on the patient's weight and age. The American Heart Association (AHA) recommends using the following energy settings:

  • Initial biphasic energy dose: 1 J/kg (joules per kilogram) for the first shock
  • If the first shock does not terminate the arrhythmia, subsequent doses can be increased to 2 J/kg and then 4 J/kg
  • Alternatively, using a monophasic defibrillator with an energy dose of 2 J/kg for the first shock, and increasing to 4 J/kg if needed
  • If the child is injured or in cardiac arrest, the initial biphasic energy dose should be increased to 2 J/kg
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